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Diane Lynnette Perry, NPC
Family Nurse Practitioner in Phoenix, Arizona
NPI 1619165008

Diane Lynnette Perry is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Diane Lynnette Perry practices in Phoenix, AZ and has the professional credentials of NPC. The NPI Number for Diane Lynnette Perry is 1619165008 and holds a License No. AP2706 (Arizona).

The current practice location address for Diane Lynnette Perry is 500 N 3Rd St, Phoenix, AZ and can be reached out via phone at 602-496-0721 and via fax at 602-496-0675.

Location: 500 N 3Rd St, Phoenix, AZ, 85004-2135
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Provider Profile Details
NPI Number
1619165008
Provider Name
Diane Lynnette Perry
Credential
NPC
Provider Entity Type
Individual
Gender
Female
Address
500 N 3Rd St, Phoenix, AZ, 85004-2135
Phone Number
602-496-0721
Fax Number
602-496-0675
Provider Enumeration Date
10/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z125057 01 AZ PTAN MEDICARE
institution
Provider Business Practice Location Address Details
Address
500 N 3Rd St
City
State
Zip
85004-2135
Phone Number
602-496-0721
Fax Number
602-496-0675
person
Provider Business Mailing Address Details
Address
500 N 3Rd St
City
State
Zip
85004-2135
Phone Number
602-496-0721
Fax Number
602-496-0675
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP2706 (Arizona)
Definition
Definition to come...
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